Trans PE of the Respiratory System Flashcards
Sinus tracts
Blind pouches that open into the skin; indicative of pulmonary inflammation
Where to pleximeter finger? With what part?
Hit distal pharyngeal joint with fingertip
Flatness from resonance
Solid replaces air in lung; indicative of tumor, pleural effusion
Dullness from resonant
Fluid / solid replaces air from lungs
Resonance
Normal
Hyperresonance
COPD, pneumothorax
Tympany
Large pneumothorax
Length of diaphragmatic excursion
5-6 cm; 1-1.5 ICS
Normal breath sounds
- tracheal
- vesicular
- bronchovesicular
- bronchial
Tracheal - where
Over trachea and mainstem bronchi
Tracheal - why
Turbulent air flow in trachea
Tracheal - IE ratio
1:2, 1:3
Vesicular - why
Laminar airflow patterns
Vesicular - IE ratio
3:1, 4:1
Bronchovesicular - IE ratio
1:1
Bronchial - IE ratio
1:1, 1:2
Tracheal - which is greater, I or E
E
Vesicular - which is greater, I or E
I
Crackles
Discontinuous sounds
Wheezes
High pitched, hissing, continuous
Ronchi
Low pitched, continuous, during expiration
What phase are ronchi heard, I or E
During expiration
Types of crackle
Coarse, fine
Coarse crackles
Low pitched, loud
